Individual
MELISSA NELL GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N FLORENCE AVE, CLAREMORE, OK 74017-3179
(918) 579-3627
Mailing address
3205 CALLAWAY DR, CLAREMORE, OK 74019-4824
(918) 559-9747
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
109502
OK
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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